FRACTURE. 
"fatal eagen of refpiration is occafioned. eed not 
_- fay more at prefeént concerning this affection, as it is bed 
of sean See EMPHYSEMA. 
cafional attendant on bad cafes of fra@tured 
tio 
nces, ” fo und exifting together. 
pala tions on. extravafation in the chet, in the articles . 
0 
: os CTRAVASATION and Wounps. | 
a es of the Os Ilium, .Os Ifehium, adh Os Pubis. 
ructure of the os ilium and os ifchium is fuch, and 
us and bulk 
pubis, 
——- does 
e ante- 
orfe. It is ee to conceive-that the 
violence night re break either the os pubis, or r the crifta 
of the i violence is generally saquilite to 
Mladen intetine and peritoneun 
affliftions depending ona paralytic affection of the 
urinary organs frequently pe ore te. 
When the os ilium is fra€tured all acrofs, the _accident 
“ In order to difvover Bac tces of the os itinin, the’ fen 
_ ‘fhould make the patient ek on that fide of the body which 
_is free from i thorax and abdomen michned 
h ufpicion is entertained that the os pubis is frac- 
tured, the examination fhould be made while the patient lies 
upon his back with his cheft inclined forward, and his 
thighs in a flate of flexion. 
Fradtures of the os ifchium may be difcovered by examining 
= oe under the lower eo of the buttock, by the fide of the 
nu 
"The fwelling sack occurs very often, renders all informa- 
tion, derived from handling the parts, exceedingly obfcure 
he 
and doubtful. -In this circumftance, the practitioner can 
only conjecture that a fi e of fome a3 0 elvis 
ned Thefe 
oppreffive ear a a agers affection o 
egs, oedem: vine and e 
blood, and colleGtions of matter are pro “ 
_ The majority of fuch patients as we have cas die from 
fra@tures of the 0s ilium, os ifchium, and os pubis, ie 
patient cannot m 
prefent itfelf, the eae carr 
e of confiderable force. 
a 
_ when 
vilcera, ; 
fallen victims to extenfive inflammations in the pelvie and 
peta 
copious and repeate: 
by 
ene and. blifters to the 1 bypogalti region, on the ve 
ft 
th: 
° 
fe) 
6 
a 
bow 
es 
@ 
3. 
a 
oO 
om 
Py | 
ae] 
poh] 
~~ 
5 
“evacuation ’ of is urine 
long eodenen ent. 
J 
n many seal ba violence inflicted is fo great, that the 
e leaft for the purpofe of obeying 
the calls of anes Ww cane being ae to the moft excruct- 
ic by fir James Earle, woul the moit advantageous. 
In certain examples ab{ceffes' cannot be prevented from 
forming in t pelvis, ae the mo judicious 
ui: 
treatment. au apt 
‘in 
ay 
is poffible for the epee _ be wounded by a fharp 
fation of urine t6 be 
jece of bone was taken’ 
as made to let out the effufed urine. 
. Fradures of ibe Os Cane, 
se taeeat cannot be broken without the operation 
Hence the accident is net frequent, 
and, when it does ia ee is ‘generally oceafioned. by the fall 
apa meh ainft the bone, the 
r its convex fide, or by high 
fi er Score of a broken facrum 
obvioufly cannot be difplaced, by reafon of the firm+manner 
in which it is connected with the lower aay ertebra. 
ere 
Asi in the cafes which form the fabjed of the eas 
e i rmmoriera t — fo, in ethan 
inftances, the danger pri i ‘om the 
aufe, and the mifchief don e feveral nerves. ». ~ 
From the fort ftatement already made, it muf beevi- 
dent that the indications in the treatment of a — - 
